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1841203692
LISA MADALA
FRESNO, CA
NPI
1841203692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP15802)
Enumeration Date
2006-08-14
Last Update Date
2020-04-22
Business Address
LISA MADALA NP
1630 E HERNDON AVE
FRESNO, CA 93720-3305
Phone number: 559-256-5200
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Mailing Address
LISA MADALA NP
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number: 559-256-5200
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